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FIRESIDE PHARMACY
NPI 1629140405
Pharmacy - Community/Retail Pharmacy in Palm Desert, CA

Active since November 15, 2006
73847 HIGHWAY 111, PALM DESERT, CA 92260(760) 346-1113(760) 346-8725 Get Directions Write a Review

NPPES record last updated: January 19, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Fireside Pharmacy NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

FIRESIDE PHARMACY (NPI 1629140405) is a healthcare organization registered as a community/retail pharmacy in Palm Desert, California and active in the NPI registry since November 2006. The organization lists Adeyemi Omilana, Owner, as its authorized official.

NPPES Registry Identity

NPI1629140405
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NamePATHWAY PHARMACEUTICALS INC
Location Address73847 HIGHWAY 111Palm Desert, CA 92260-4005
Mailing Address73847 Highway 111Palm Desert, CA 92260-4005 · (760) 346-1113 · Fax (760) 346-8725
Phone(760) 346-1113
Fax(760) 346-8725
Organization SubpartNo
Authorized OfficialAdeyemi OmilanaOwner · (760) 409-4898
Enumeration DateNovember 15, 2006
Last NPPES UpdateJanuary 19, 2017
✔ NPI 1629140405 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 6

★ Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers
Taxonomy Code3336C0003X
License✔ Licensed in CA · PHY47407
Definition
A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.
Also ListedDurable Medical Equipment & Medical SuppliesTaxonomy 332B00000X
Also ListedPharmacyTaxonomy 333600000X
Also ListedPharmacy · Compounding PharmacyTaxonomy 3336C0004X
Also ListedPharmacy · Home Infusion Therapy PharmacyTaxonomy 3336H0001X
Also ListedPharmacy · Specialty PharmacyTaxonomy 3336S0011X
73847 HIGHWAY 111, Palm Desert, CA 92260
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Other Names 1

Doing Business AsFireside Pharmacy

Other Identifiers 3

MedicaidPHA474070CA
Medicare NSC4919170002
Other2067075Pk

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Ambetter from Absolute Total Care, Ambetter from Arizona Complete Health and more.Insurance ›

Medical Equipment Supplier Medicare DMEPOS 5

Medicare supplier enrollment and the product categories Fireside Pharmacy carries, from the Medicare DMEPOS supplier directory.

Fireside Pharmacy

DMEPOS supplier · Palm Desert, CAOperated by Pathway Pharmaceuticals Inc
✔

Accepts Medicare assignment

Fireside Pharmacy agrees to accept the Medicare-approved amount as full payment for covered equipment and supplies. Medicare patients are not billed beyond the standard deductible and coinsurance.

PTAN (Medicare Supplier Number)20411057
Medicare Participant SinceNovember 2, 2020
Supplier Location73847 Highway 111Palm Desert, CA 92260
Phone(760) 346-1113
Supplier Specialties
Pharmacy

Medicare Product Categories

Epoetin
Epoetin is a man-made version of human erythropoietin (EPO)
Immunosuppressive Drugs
Immunosuppressive drugs require dosage, frequency, and route of administration to prevent or treat the rejection of an organ transplant
Nebulizer Drugs
Albuterol, levalbuterol, and metaproterenol are all short-acting bronchodilators with beta-adrenergic stimulatory effect
Oral Anticancer Drugs
FDA anticancer drugs
Oral Antiemetic Drugs
FDA antiemetic drugs
Product categories are from the Medicare DMEPOS supplier directory. Contact the supplier to confirm current availability of specific items.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Pathway Pharmaceuticals Inc's NPI number?

The NPI number for Pathway Pharmaceuticals Inc is 1629140405. It was assigned to this organization in the NPPES registry on November 15, 2006. The provider is doing business as Fireside Pharmacy.

Where is Pathway Pharmaceuticals Inc located?

Pathway Pharmaceuticals Inc is located at 73847 Highway 111, Palm Desert, CA 92260. The listed phone number is (760) 346-1113.

What is Pathway Pharmaceuticals Inc's specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Community/Retail Pharmacy, with taxonomy code 3336C0003X.

Does Pathway Pharmaceuticals Inc accept Medicare assignment for medical equipment?

Yes. As a Medicare medical equipment supplier, Fireside Pharmacy accepts Medicare assignment: the supplier accepts the Medicare-approved amount as payment in full for covered equipment and supplies.

What insurance does Pathway Pharmaceuticals Inc accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter Health of Delaware, Ambetter from Absolute Total Care and Ambetter from Arizona Complete Health and 48 other insurers list Pathway Pharmaceuticals Inc as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Pathway Pharmaceuticals Inc was last updated on January 19, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.